Announcement

Collapse

Welcome to Moorcock's Miscellany

Dear reader,

Many people have given their valuable time to create a website for the pleasure of posing questions to Michael Moorcock, meeting people from around the world, and mining the site for information. Please follow one of the links above to learn more about the site.

Thank you,
Reinart der Fuchs
See more
See less

Free Market Healthcare

Collapse
X
 
  • Filter
  • Time
  • Show
Clear All
new posts
  • devilchicken
    We'll get to that later
    • Nov 2004
    • 2814

    Free Market Healthcare

    I'm skeptical of this to say the least. It puts a huge amount of trust in private enterprise to behave in an ethical manner.

    Transitioning to this sort of system would also seem to involve a period where we jump into the deep end of the swimming pool with weights tied around our ankles.

    It's true that the U.S. health care system is a mess, but this demonstrates not market but government failure. To cure the problem requires not different or more government regulations and bureaucracies, as self-serving politicians want us to believe, but the elimination of all existing government controls.

    It's time to get serious about health care reform. Tax credits, vouchers, and privatization will go a long way toward decentralizing the system and removmg unnecessary burdens from business. But four additional steps must also be taken:

    1. Eliminate all licensing requirements for medical schools, hospitals, pharmacies, and medical doctors and other health care personnel. Their supply would almost instantly increase, prices would fall, and a greater variety of health care services would appear on the market.
    Competing voluntary accreditation agencies would take the place of compulsory government licensing--if health care providers believe that such accreditation would enhance their own reputation, and that their consumers care about reputation, and are willing to pay for it.
    Because consumers would no longer be duped into believing that there is such a thing as a "national standard" of health care, they will increase their search costs and make more discriminating health care choices.

    2. Eliminate all government restrictions on the production and sale of pharmaceutical products and medical devices. This means no more Food and Drug Administration, which presently hinders innovation and increases costs.

    Costs and prices would fall, and a wider variety of better products would reach the market sooner. The market would force consumers to act in accordance with their own--rather than the government's--risk assessment. And competing drug and device manufacturers and sellers, to safeguard against product liability suits as much as to attract customers, would provide increasingly better product descriptions and guarantees.

    3. Deregulate the health insurance industry. Private enterprise can offer insurance against events over whose outcome the insured possesses no control. One cannot insure oneself against suicide or bankruptcy, for example, because it is in one's own hands to bring these events about.
    Because a person's health, or lack of it, lies increasingly within his own control, many, if not most health risks, are actually uninsurable. "Insurance" against risks whose likelihood an individual can systematically influence falls within that person's own responsibility.

    All insurance, moreover, involves the pooling of individual risks. It implies that insurers pay more to some and less to others. But no one knows in advance, and with certainty, who the "winners" and "losers" will be. "Winners" and "losers" are distributed randomly, and the resulting income redistribution is unsystematic. If "winners" or "losers" could be systematically predicted, "losers" would not want to pool their risk with "winners," but with other "losers," because this would lower their insurance costs. I would not want to pool my personal accident risks with those of professional football players, for instance, but exclusively with those of people in circumstances similar to my own, at lower costs.
    Because of legal restrictions on the health insurers' right of refusal--to exclude any individual risk as uninsurable--the present health-insurance system is only partly concerned with insurance. The industry cannot discriminate freely among different groups' risks.

    As a result, health insurers cover a multitude of uninnsurable risks, alongside, and pooled with, genuine insurance risks. They do not discriminate among various groups of people which pose significantly different insurance risks. The industry thus runs a system of income redistribution--benefiting irresponsible actors and high-risk groups at the expense of responsible individuals and low risk groups. Accordingly the industry's prices are high and ballooning.

    To deregulate the industry means to restore it to unrestricted freedom of contract: to allow a health insurer to offer any contract whatsoever, to include or exclude any risk, and to discriminate among any groups of individuals. Uninsurable risks would lose coverage, the variety of insurance policies for the remaining coverage would increase, and price differentials would reflect genuine insurance risks. On average, prices would drastically fall. And the reform would restore individual responsibility in health care.

    4. Eliminate all subsidies to the sick or unhealthy. Subsidies create more of whatever is being subsidized. Subsidies for the ill and diseased breed illness and disease, and promote carelessness, indigence, and dependency. If we eliminate them, we would strengthen the will to live healthy lives and to work for a living. In the first instance, that means abolishing Medicare and Medicaid.
    Only these four steps, although drastic, will restore a fully free market in medical provision. Until they are adopted, the industry will have serious problems, and so will we, its consumers.
    http://mises.org/freemarket_detail.aspx?control=279
    Batman: It's a low neighborhood, full of rumpots. They're used to curious sights, which they attribute to alcoholic delusions.

    Robin: Gosh, drink is sure a filthy thing, isn't it? I'd rather be dead than unable to trust my own eyes!
  • UncleDes
    Got Moves like Jagged
    • Dec 2006
    • 3682

    #2
    I assume that this is a joke, right?

    So anyone can call themselves a medical expert and dispense "medicines"... we're going back to middle ages with the help of Oprah and the "free market".

    Holy Craaap!

    Des
    Spacerockmanifesto on Facebook

    Hawkwind tabs

    Comment

    • Groakes
      badseed
      • Jan 2005
      • 2512

      #3
      It's interesting that when muppets like this talk of the Free Market, what they actually want is de-regulation, read as, open slather for corporations.

      Mind you, I would be happy to charge Hans-Hermann Hoppe for the benefits of my medical expertise. Initial diagnosis - insanity characterised by bouts of severe delusion.

      Still, Ron Paul would approve.
      Last edited by Groakes; 06-04-2009, 05:12 PM.
      Does it follow that I reject all authority? Perish the thought. In the matter of boots, I defer to the authority of the boot-maker.
      Bakunin

      Comment

      • UncleDes
        Got Moves like Jagged
        • Dec 2006
        • 3682

        #4
        Originally posted by Groakes View Post
        It's interesting that when muppets like this talk of the Free Market, what they actually want is de-regulation, read as, open slather for corporations.

        Mind you, I would be happy to charge Hans-Hermann Hoppe for the benefits of my medical expertise. Initial diagnosis - insanity characterised by bouts of severe delusion.

        Still, Ron Paul would approve.
        Stopped my 13 year old dead in his tracks today when he was spouting some anti-government, libertarian clap-trap:

        "Who would plough the roads?" [We get 15feet of snow or so a year up here]
        "The local town would."
        "You mean the local government would, then, right?"
        "Mmmmm..."
        Spacerockmanifesto on Facebook

        Hawkwind tabs

        Comment

        • Groakes
          badseed
          • Jan 2005
          • 2512

          #5
          We would all plough the roads as part of our anarchist commune/kibbutz!
          Does it follow that I reject all authority? Perish the thought. In the matter of boots, I defer to the authority of the boot-maker.
          Bakunin

          Comment

          • Lucid Sirius
            Jester, ret.
            • Mar 2009
            • 465

            #6
            This is definitely one of the most silly and ideologically over-stuffed things I've read in a long time.

            Health is not a commodity, it is the foundation of the ability to engage life on any level.

            Having just returned from the emergency room a little while ago, I can say that I especially like the licensing of doctors, regulated antiseptic standards and all those other people who hold doctors and nurses to good standards.

            "When we remember we are all mad, the mysteries disappear and life stands explained."
            - Mark Twain, notebook entry, 1898.

            Comment

            • devilchicken
              We'll get to that later
              • Nov 2004
              • 2814

              #7
              I believe the thinking is that in the absence of government intervention the market will regulate itself based on some sort of community standard. As I said it seems very dubious to me - at least with today's corporate America.

              Pure free market economics seems to be not unlike communism - sounds good on paper, but practically - it has the potential for horrible tyranny.
              Batman: It's a low neighborhood, full of rumpots. They're used to curious sights, which they attribute to alcoholic delusions.

              Robin: Gosh, drink is sure a filthy thing, isn't it? I'd rather be dead than unable to trust my own eyes!

              Comment

              • Rothgo
                Champion of the Unbalanced
                • Aug 2006
                • 6663

                #8
                Sounds great for the healthy. For the sick, not quite so good...
                Rather reminds me of the Monty Python Insurance sketch.

                Comment

                • johneffay
                  Born Again Nihilist
                  • Sep 2005
                  • 3394

                  #9
                  Originally posted by devilchicken View Post
                  I believe the thinking is that in the absence of government intervention the market will regulate itself based on some sort of community standard. As I said it seems very dubious to me - at least with today's corporate America.
                  You're kidding! Look how well deregulation worked for the banks

                  Comment

                  • devilchicken
                    We'll get to that later
                    • Nov 2004
                    • 2814

                    #10
                    Originally posted by johneffay View Post
                    Originally posted by devilchicken View Post
                    I believe the thinking is that in the absence of government intervention the market will regulate itself based on some sort of community standard. As I said it seems very dubious to me - at least with today's corporate America.
                    You're kidding! Look how well deregulation worked for the banks
                    Oh absolutely. It cannot possibly fail.
                    Batman: It's a low neighborhood, full of rumpots. They're used to curious sights, which they attribute to alcoholic delusions.

                    Robin: Gosh, drink is sure a filthy thing, isn't it? I'd rather be dead than unable to trust my own eyes!

                    Comment

                    • J-Sun
                      Priest of Nadsokor
                      • Dec 2007
                      • 2173

                      #11
                      As the government has announced here in the US that Medicare will be bankrupt by 2017 and Social Security by somewhere in the 2030`s, it will be interesting to see what plan they come up with to fix the system. My fear is that whatever fix is chosen, it will be painful. I don`t think we can get out of that part by now. But sometimes the fix is worse than the problem. Like giving GM 30 billion to keep afloat, only to have them go bankrupt anyway. Now we are 30 billion further in debt with the same results had we let them go bankrupt months ago. Healthcare, I fear, will have the same problems in fixing it.
                      "Self-discipline and self-knowledge are the key. An individual becomes a unique universe, able to move at will through all the scales of the multiverse - potentially able to control the immediate reality of every scale, every encountered environment."
                      --Contessa Rose von Bek, Blood part 4, chapter 12

                      Comment

                      • opaloka
                        digital serf 41221z/74
                        • Jun 2006
                        • 3746

                        #12
                        I've got to disagree, that 30 billion was money to tide them over until they could go into bankruptcy in an orderly way, as opposed to going belly up and liquidating all of their assets and in the process bringing the stock market down even further - when it had just stabilized. Absolutely necessary IMO.

                        Now to pay for the debt, we just need a tax rate similair to the one we had when we were a successful nation...

                        Comment

                        • J-Sun
                          Priest of Nadsokor
                          • Dec 2007
                          • 2173

                          #13
                          Originally posted by opaloka View Post
                          I've got to disagree, that 30 billion was money to tide them over until they could go into bankruptcy in an orderly way, as opposed to going belly up and liquidating all of their assets and in the process bringing the stock market down even further - when it had just stabilized. Absolutely necessary IMO.

                          Now to pay for the debt, we just need a tax rate similair to the one we had when we were a successful nation...
                          A higher tax rate? Uck.
                          We can agree to disagree on that one.
                          "Self-discipline and self-knowledge are the key. An individual becomes a unique universe, able to move at will through all the scales of the multiverse - potentially able to control the immediate reality of every scale, every encountered environment."
                          --Contessa Rose von Bek, Blood part 4, chapter 12

                          Comment

                          • Cosmic_Champion99
                            Champion of the Cosmos
                            • Mar 2008
                            • 202

                            #14
                            Originally posted by J-Sun View Post
                            Originally posted by opaloka View Post
                            I've got to disagree, that 30 billion was money to tide them over until they could go into bankruptcy in an orderly way, as opposed to going belly up and liquidating all of their assets and in the process bringing the stock market down even further - when it had just stabilized. Absolutely necessary IMO.

                            Now to pay for the debt, we just need a tax rate similair to the one we had when we were a successful nation...
                            A higher tax rate? Uck.
                            We can agree to disagree on that one.
                            Well, isn't the spent 14 trillion money in circulation? So wouldn't that mean we can't really pay off the bills?

                            Comment

                            • devilchicken
                              We'll get to that later
                              • Nov 2004
                              • 2814

                              #15
                              Some of the bailout money is being paid back already. There was a story last night that 10 US banks are wanting to pay back $62 billion so that they can be competitive again and not have to worry about justifying how much they pay their executives.

                              Of course $62 billion is a fairly small piece of what was invested...
                              Batman: It's a low neighborhood, full of rumpots. They're used to curious sights, which they attribute to alcoholic delusions.

                              Robin: Gosh, drink is sure a filthy thing, isn't it? I'd rather be dead than unable to trust my own eyes!

                              Comment

                              Working...
                              X